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Clinical Science Curriculum

  /  Clinical Science Curriculum

The clinical sciences curriculum consists of 72 weeks of clinical training in the inpatient and outpatient settings. It is divided into 48 weeks of core rotations taught in the 3rd year and 24 weeks of elective rotations taught in the 4th year.

Students must pass step 1 before commencing core rotations. After finishing core rotations students are qualified to take the USMLE Step 2 examinations. Students must pass Step 2 before starting the elective rotations.

The clinical sciences curriculum is designed to train the students to function effectively in a clinical setting. Students participate in patient care while rotating through various medical specialties in various clinical settings. Training includes patient history taking, physical examination, laboratory analysis, and differential diagnosis, constructing effective management plan, case presentations, clinical workshops and conferences.

CORE 1 – INTERNAL MEDICINE

Duration:                   12 weeks

Prerequisite:             USMLE Step-1 pass

Exam format:             MCQ Exam, Preceptor Clinical Evaluation

PURPOSE: Internal Medicine is an inpatient and outpatient service experience in which students will apply concepts of diagnosis and management to hospitalized and ambulatory patients.  Experiences will focus on areas traditionally identified and related to internal medicine; for example, the path physiology of non-surgical diseases, and the application of non-surgical diagnostic and therapeutic techniques. Internal Medicine experiences will take place primarily on general medical/surgical floors and specialty units. Any outpatient experiences will be designed to provide students with an understanding of routine care performed in the physician’s office/clinic, and will be at the discretion of the Attending/Preceptor.

GOALS:  Goals for this rotation include students being able to evaluate, diagnose, and treat patients for a variety of medical problems in hospital and ambulatory settings, to develop increased ability in diagnostic problem solving of medical disorders, to develop specific motor skills in techniques and procedures commonly related to the hospitalized medical patients, and to recognize the psychosocial needs of the patient.

CORE 2 – SURGERY

Duration:                   12 weeks

Prerequisite:             USMLE Step-1 pass

Exam format:             MCQ Exam, Preceptor Clinical Evaluation

PURPOSE: Surgery is primarily an inpatient service experience where students will learn to recognize and assist in the treatment of disease during which surgery may play a role in a patient’s treatment and recovery. Students will learn basic surgical procedures, asepsis, correct handling of tissue, and technical skills to assist the surgeon in the operating room. Students will assist in pre-and post-operative care to learn various surgical treatments and to recognize potential risks associated with respective treatments.

GOALS: Goals for this rotation include students being able to evaluate, diagnose, and treat patients with problems requiring surgical intervention. How to care for the patient in the immediate postoperative period. How to recognize postoperative complications needing further surgical care. Cost/risk/benefit, as it applies to patient care. Comprehend and apply specific surgical protocol in the operating room, i.e., scrubbing, gowning, gloving, draping, and prepping. Develop specific motor skills utilized in surgery.

CORE 3 – FAMILY MEDICINE

Duration:                   6 weeks

Prerequisite:             USMLE Step-1 pass

Exam format:             MCQ Exam, Preceptor Clinical Evaluation

PURPOSE: Family Medicine provides students with the opportunity to begin acquiring an understanding of the unique role of the family practitioner, and the basic knowledge, skills, and attitudes necessary to care for patients of all ages. Students will gain these abilities by engaging in structured learning activities — both outpatient and inpatient. These will represent a core of behaviours encompassed by the family physician, which prepare him/her for a unique role in patient management, problem-solving counselling, and coordination of health care for the individual and for the family unit. Students will be required to take call, attend conferences, and read suggested literature.

GOALS:  Goals of the rotation include students being able to understand how patients enter the healthcare delivery system, as well as progress through it. Demonstrate an approach to the patient as a whole person, and provide personal care for individuals and families, as the physician of first contact. Demonstrate an understanding and appreciation of the unique, continuous, comprehensive approach to health care delivery by the primary care physician with patients and their families. Be familiar with basic diagnoses and management of diseases, and conditions commonly presented by families in the primary care setting. Use skills in applying the bio psychosocial approach in diagnosing and managing patients with diseases and conditions commonly presented in the primary care setting. Explain the family systems model of patient care. Recognize the value of the physician’s role and responsibilities in disease prevention, health promotion, and patient education.

CORE 4 – OBSTETRICS & GYNECOLOGY

Duration:                   6 weeks

Prerequisite:             USMLE Step-1 pass

Exam format:             MCQ Exam, Preceptor Clinical Evaluation

PURPOSE: Obstetrics and Gynaecology is predominantly an inpatient clinical experience. Related outpatient clinical experiences will be periodically integrated into the rotation to provide students with an understanding of routine OB/GYN care performed in the physician’s office. The outpatient experiences may be met in a clinic or a preceptor’s office. Students will be required to take calls, attend conferences, and read suggested literature. Students will perform selected technical skills necessary to provide ante-partum care, postpartum care, and pre- and post-op care of gyne-surgical patients. They will practice skills and techniques to do normal, uncomplicated deliveries and will participate in the management of more complex problems in obstetrics. Emphasis will be placed on pelvic exams and identifying pathology. Attention will be directed to the psychosocial impact of pregnancy and gynaecologic disease on the female patient and the family unit.

GOALS: Goals of the rotation include students being able to evaluate the various stages of labor in the pregnant patient and to evaluate, diagnose, and treat the complications of pregnancy. Develop specific motor skills and aptitudes relative to the delivery of an infant and care of the newborn in the delivery room. Evaluate and manage the postpartum patient. Evaluate, diagnose, and treat a variety of gynaecologic problems within the hospital and ambulatory settings.

CORE 5 – PEDIATRICS

Duration:                   6 weeks

Prerequisite:             USMLE Step-1 pass

Exam format:             MCQ Exam, Preceptor Clinical Evaluation Form

PURPOSE: The Paediatric clerkship addresses issues unique to childhood and adolescence by focusing on human developmental biology, and by emphasizing the impact of family, community, and society on child health and well-being. Additionally, the clerkship focuses on the impact of disease and its treatment on the developing human, and emphasizes growth and development, principles of health supervision, and recognition of common health problems. The role of the paediatrician in prevention of disease and injury, and the importance of collaboration between the paediatrician and other health professionals, is stressed. As one of the core clerkships during the third year of medical school, Paediatrics shares with Family Medicine, Internal Medicine, Obstetrics/Gynaecology, Psychiatry, and Surgery, the common responsibility to teach the knowledge, skills, and attitudes basic to the development of a competent general physician.

GOALS: The goals of this rotation are to endorse acquisition of basic knowledge of growth and development (physical, physiological, and psychosocial), and of its clinical application, from birth through adolescence. Development of communication skills that will facilitate the clinical interaction with children, adolescents, and their families, and thus ensure that complete, accurate data is obtained. Development of competency in the physical examination of infants, children, and adolescents. Acquisition of the knowledge necessary for the diagnosis and initial management of common acute and chronic illnesses. An understanding of the influence of family, community, and society on the child in health and disease. Development of strategies for health promotion, as well as disease and injury prevention.

CORE 6 – PSYCHIATRY

Duration:                        6 weeks

Prerequisite:                 USMLE Step-1 pass

Exam format:                   MCQ Exam, Preceptor Clinical Evaluation

PURPOSE: Throughout the clerkship program, students are expected to participate in didactic conferences, case presentations, and specifically, to learn the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders. On the in-patient services, the student should have a responsibility for patient care under close supervision of physicians. That should include a full evaluation; students should take part in deciding appropriate treatment and testing.  Students are encouraged to discuss their opinions with their instructors.

GOALS: The goals of the Psychiatry Clerkship are to teach the students a scientific way of making a differential diagnosis and prescribing treatment. The students should learn that a mental illness, like other illnesses, can be treated and controlled. In order to achieve the said goal, the students are expected to learn to conduct a psychiatric evaluation with a mental status examination, formulate a broad differential diagnosis, plan a treatment and management of patients, have a familiarity with major psychiatric medications and their side effects, recognize medical conditions which may exacerbate a psychiatric condition, and recognize the problem of chemical dependency and its role in mental illness.

ELECTIVE ROTATIONS

A minimum of 24 weeks of elective rotations must be completed. All students must complete 6weeks of emergency medicine. Highly recommended electives include:

  • Cardiology
  • Neurology
  • Urology
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